Closing the gap-cardiovascular risk and primary prevention: Results from the American college of physicians quality improvement program

Vincenza Snow, Cara Egan Reynolds, Lia Bennett, Kevin B. Weiss, Qianna Snooks, Amir Qaseem

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

The objective was to study the impact of a practice-based quality improvement program on practice teams' care for patients who have increased risk of cardiovascular disease. A total of 54 team members from 18 internal medicine practices participated in an educational program that used a pre-post intervention study design and focused on measures related to cardiovascular risk factors. The program involved live instruction, faculty-led conference calls, practice data collection, and progress reports detailing practices' improvement strategies. Data on 817 patients were reported. Practices showed significant improvement in counseling for diet (70% to 78%), exercise (67% to 74%), and weight loss (64% to 72%). Use of aspirin (53% to 64%) and statins (83% to 89%) also showed significant improvement. Administration of flu vaccine increased significantly from 51% to 54%. Improvements in patient counseling and medication management, if sustained, should lead to fewer cardiovascular events. However, program duration did not allow the capture of outcomes measures improvement.

Original languageEnglish (US)
Pages (from-to)261-267
Number of pages7
JournalAmerican Journal of Medical Quality
Volume25
Issue number4
DOIs
StatePublished - 2010

Keywords

  • Cardiovascular
  • Improvement
  • Practice based
  • Quality
  • Team oriented

ASJC Scopus subject areas

  • Health Policy

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